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1336467919
TANYA MALLAN
SANTA ROSA, CA
NPI
1336467919
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Other Name
TANYA MALLAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: CA 10037)
Enumeration Date
2010-05-06
Last Update Date
2010-05-06
Business Address
-- TANYA MALLAN Tanya Mallan
5289 JOAQUIN RD
SANTA ROSA, CA 95409-2843
Phone number: 707-477-0434
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Mailing Address
-- TANYA MALLAN Tanya Mallan
5289 JOAQUIN RD
SANTA ROSA, CA 95409-2843
Phone number: 707-538-8092
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